| Ken Schmitz, Licsw | |
|
2469 University Ave W Saint Paul MN 55114-1534 | |
| (651) 659-0294 | |
| Not Available |
| Full Name | Ken Schmitz, Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2469 University Ave W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Ken W Schmitz (TREASURER) |
| Authorized Official Contact | 6516590294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Schmitz, Licsw 2469 University Ave W Saint Paul MN 55114-1534 Ph: (651) 659-0294 | Ken Schmitz, Licsw 2469 University Ave W Saint Paul MN 55114-1534 Ph: (651) 659-0294 |
| NPI Number | 1205066875 |
|---|---|
| Provider Enumeration Date | 07/17/2009 |
| Last Update Date | 07/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205066875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 00099 (Minnesota) | Primary |
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